Payán-Santos NP, Montelongo FJ, Galindo-Ayala J, Téllez-López Y, Trujillo-Martínez M, Tapia-Velasco R

Language: Spanish
References: 9
Page: 41-47
PDF size: 470.38 Kb.

ABSTRACT

Introduction: the use of different treatments for secondary pneumothorax has been discussed with extensive information on the management of iatrogenic and non-iatrogenic traumatic pneumothorax with the use of generally large-caliber pleurostomy tubes, being a procedure susceptible to complications; however, there is no evidence to support the use of a mini-bore catheter.
Objective: to describe the technique and the results of the miniseal in the treatment of secondary traumatic pneumothorax.
Material and methods: a pilot and quasi-experimental study was carried out with 41 patients who required management of pneumothorax secondary to different entities. The success of the procedure was evaluated through the comparative analysis of successful and unsuccessful cases, also evaluating placement time and complications.
Results: the success of the miniseal procedure was 65.85%. A mean of 6 minutes was obtained from the introduction of the catheter until the total evacuation of the pneumothorax and 0% of complications associated with the procedure in 41 patients. In the comparative analysis, no statistically significant differences were found in any variable with respect to successful and unsuccessful procedures.
Discussion: the management of patients with secondary traumatic pneumothorax, especially that associated with health care due to subclavian venous access, a relatively frequent complication in the intensive care unit, leads us to explore new alternatives that offer better advantages than the approach routinely with a large-bore pleurostomy tube.
Conclusions: Mini-seal placement is an alternative, successful and safe method for the patient, with a short period of installation time and due to the caliber of the catheter, probably better comfort.

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